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SHR Neuro Cancer Cardio Lipid Metab Microb

Beran, E; Marzouk, JF; Dimitri, WR.
Bilateral phrenic nerve palsy following aortic valve surgery.
J Card Surg. 2008; 23(6): 691-692. Doi: 10.1111/j.1540-8191.2008.00753.x
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Leading authors Med Uni Graz
Beran Elisabeth
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Abstract:
Bilateral phrenic nerve palsy is an extremely rare but serious complication of open cardiac surgery. We report the case of a 78-year-old female who underwent elective aortic valve replacement and coronary artery bypass grafting under hypothermic cardiopulmonary bypass. Despite otherwise unremarkable postoperative recovery, the patient could not be weaned off ventilatory support. A chest radiograph and radiological screening of the diaphragm confirmed the diagnosis of bilateral phrenic nerve palsy. Following bilateral hemi diaphragm placation and extensive respiratory rehabilitation the patient was discharged several months after initial surgery breathing independently. Literature review revealed only two similar cases. Many contributing factors have been described but the etiology of bilateral phrenic nerve palsy following open cardiac surgery still remains unclear. Raised awareness of this condition is essential.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aortic Valve - pathology
Aortic Valve Stenosis - pathology
Coronary Artery Bypass - adverse effects
Female -
Heart Valve Prosthesis -
Heart Valve Prosthesis Implantation -
Humans -
Phrenic Nerve - injuries

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